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Utah Medicaid Provider Manual
Table of Contents

WELCOME
Explains purpose of the Utah Medicaid Provider Manual and its intended audience.

SECTION 1: GENERAL INFORMATION
SECTION 1 of the Utah Medicaid Provider Manual contains policy, procedures, codes and billing instructions which apply to all health care providers enrolled in the Utah Medicaid Program.

SECTION 2: PROVIDER SPECIFIC INFORMATION
This section of the Utah Medicaid Provider Manual has policy, procedures, codes and billing instructions specific to a health care service covered by the Utah Medicaid Program. You can download any of the manuals and code lists. View list.

NON-TRADITIONAL MEDICAID PLAN
A section covering the Non-Traditional Medicaid Plan is included with selected Medicaid Manuals. This section is included if the type of service is covered by the Non-Traditional Medicaid Plan.  The list of Medicaid Manuals by provider type has a column to show which manuals include the Non-Traditional Medicaid Plan

GENERAL ATTACHMENTS FOR ALL PROVIDER MANUALS
Documents, forms and instructions in the GENERAL ATTACHMENTS section of the Utah Medicaid Provider Manual are in the list below. Forms and code lists for a type of service are on the Provider-Specific list.

Access Now Instructions/Fax Numbers
< Guide to Medical Interpretive Services
<
CMS -1500 Instructions
< Coordination of Benefits
< Managed Care Plan List (MCPs and PMHPs)
< Med
icaid Identification Cards
< Medicaid Information Line Menu
< Telephone Menu Options

< Publication Request Form
<
Prior Authorization Request Form Instructions
< Request for Hearing Form

Last edited March 18, 2008